Halfway up Mission Peak, there is a luxurious manor and an equestrian training ground.
Luo Ya was wearing a black sportswear and was holding a "pearl white" horse that was very sweaty.
She was originally going to go horse riding, but she immediately called Zhou Qiao after receiving the news!
At this time, I felt relieved when I heard that Zhou Qiao was full of confidence.
After all, she had seen Zhou Qiao's medical skills before, and they were extremely miraculous. She couldn't even see her serious injuries now!
And after recovery, the flexibility of her hands was not affected at all! There is nothing unusual about firing a gun, holding the reins, or even playing the piano.
"If there is any hindrance, it probably has to do with the license."
Luo Ya pondered for a moment, then called several familiar members of the California Senate one by one and briefly mentioned what happened. They all said they would go and ask. And reassured her that such a trivial matter should not be taken to heart.
After Luo Ya hung up the phone, she couldn't help but smile bitterly. She didn't have such powerful powers in her previous identity, and she didn't expect that even a congressman could do whatever she wanted now. It makes people not want to go back!
After making the call, looking at the green grassland and the clear sky, Luo Ya couldn't help but feel happy and waved in the distance. Black Scorpion immediately ran over on horseback and shouted: "Head!" Son, what are your orders?"
He was riding a bay red horse, which was also tall and majestic, but it was far inferior to Luo Ya's "pearl white" horse!
If Zhou Qiao were here, he would definitely exclaim: "Damn it, the Jade Lion Zhao Ye!"
During the Tang Dynasty, a painter named Han Gan painted a painting called "White Night Lighting", in which two Dawan horses are covered in snow-white, with no trace of color at all. They run at night and reflect the surroundings as brightly as snow.
Of course, this kind of horse is not suitable for fighting, only for showing off. If you ride it into the battlefield, you will only become a target.
Luo Ya got on his horse and said, "Let the people below keep an eye on that Kainzi. If there is any situation, report it immediately."
"Copy that!" Black Scorpion thought for a moment, then couldn't help but make a gesture of wiping his throat, and asked, "Boss, do you want to kill that bald guy?"
Luo Ya waved her hand and killed him now. It was so obvious that it was easy for people to connect the two things.
"Start and then talk!" Luo Ya waved her hand gently, but she felt helpless in her heart. These gangsters knew how to fight and kill all day long.
She doesn't have any psychological burden for killing gangsters and killing gangsters, but killing civilians wantonly? It may have an impact on her in the future unless it is done airtight.
However, you can't kill them, but you can teach them a lesson.
…
At one o'clock in the afternoon, the community hospital, operating room 1, was ready.
In the corner of the operating room, the Bose sound system hanging on the wall started playing soothing music, Insecurity by Scars On 45.
This song was chosen by Ava to ease the tension during surgery.
There are hundreds of music to choose from in the music library, including passionate rock music, but Ava prefers this ballad.
The surgery was naturally performed by Zhou Qiao, instrument nurse Elena, traveling nurse Ava, and anesthesiologist Nancy. In addition, there were two experts from the medical committee, Professor Eric Pasent and Dr. Sam.
Of course, Professor Pasent and Dr. Sam will only watch and not intervene.
In other words, the operation was basically completed by Zhou Qiao alone!
For such a major operation, four, five, or even more surgical assistants are not allowed in China. However, in the United States, due to the high cost of labor, even a major operation can only have one or two assistants at most.
Zhou Qiao is more miserable and doesn’t have an assistant!
However, this does not trouble him.
Another reason is that Americans have invented many auxiliary devices that are convenient for one person to operate, such as retractors.
A super complex retractor, the kind with seven or eight "minions" on a pole!
After all, it is a foreign country, and it is naturally very different from China. For example, when you first enter, there is usually an aunt in the domestic operating room (the intern classmates call it the "doorkeeper") who is responsible for distributing clothes, but in the United States, taking Washing clothes is fully automatic, just like a vending machine. You swipe your card and choose the size that suits you. The size of tops and pants can be combined in different sizes, and then it pops out by itself.
All because there are few Americans.
Its effective land area and cultivated land area exceed that of China, but its population is only over 300 million! Therefore, the United States is a major agricultural country, and China imports large amounts of food from the United States every year.
Many people think that China is a major agricultural country. We are not as good as the United States in terms of science and technology. Can we still not overpower the United States in terms of agriculture?
However, the real situation is not like this. Just look at the annual Sino-US trade surplus.
The United States not only has a superior geographical location, but its homeland is also relatively safe. It was almost unaffected by World War I and World War II, unlike China, which was surrounded by wolves.
Of course, this kind of geographical relationship can be bullied when it is weak, but when it is at its peak, when all the nations come to court, surrounded by many younger brothers, and all kinds of interests are projected, it is easy to form a powerful alliance force!
This is not comparable to the United States being "alone overseas".
Several other members of the Medical Committee, as well as Kainz, the owner of the Red-billed Gull Clinic, were watching the "live broadcast" in a monitoring room outside. The main reason was that the operating room was too small. If everyone came in, it would be too crowded and prone to accidents. pollute.
Kainz was acquainted with a member of the investigation team and was a whistleblower. He followed shamelessly and no one chased him away. Anyway, it won't affect the investigation.
Mr. Clark was holding a cup of coffee in the waiting area, and music was also playing.
This place is similar to the airport waiting area. Coffee is free and you can refill it at will.
Mr. Clark was so nervous that he drank several cups of coffee within just a few minutes of sitting down.
Normally, he could drink a cup for more than ten minutes, and no more than five cups a day, but today, from morning to now, he had already had seventeen cups! I probably couldn't sleep well at night.
It doesn't matter if she can't sleep, Mrs. Clark still needs someone to take care of her after the operation.
Pancreatic cancer is a very dangerous malignant tumor, and its treatment methods are different from benign tumors.
If it is located at the tail of the pancreas, the body and tail of the pancreas, the invaded blood vessels, and the spleen need to be removed. If it is located at the head of the pancreas, pancreatoduodenectomy is required.
Mrs. Clark belongs to the latter.
What Zhou Qiao will do today is a "total laparoscopic pancreaticoduodenectomy" which can be called the "Everest" of general surgical operations.
The operation is difficult and risky. It requires multi-organ dissection and resection around important visceral blood vessels, as well as high-quality digestive tract reconstruction, such as pancreaticojejunostomy, bile duct jejunostomy, gastrojejunostomy...
In particular, "pancreaticojejunostomy" is called the "kiss of death" by surgeons and is the main source of surgical complications.
Compared with conventional pancreaticoduodenectomy, radical resection of pancreatic head cancer is more difficult.
Aseptic inflammation or vascular invasion around the tumor causes the anatomical gaps of the blood vessels to disappear, and a little carelessness will lead to fatal bleeding, which requires higher surgical skills and teamwork.
Since pancreatic and duodenal resections involve large trauma, long operation time, and large amounts of bleeding in the surgical field, anesthesiologist Nancy chose general anesthesia combined with epidural spinal nerve interference block.
In order to improve the patient's tolerance to anesthesia and surgery, a high-protein, high-sugar, and low-fat diet was given before surgery, and water, electrolyte and acid-base imbalances were corrected.
Of course, for such a difficult operation, muscle relaxants and tracheal intubation were naturally used.
As for intraoperative monitoring of blood pressure, heart rate (rhythm), SPO2, PETCO2, CVP, invasive arterial pressure, urine output, body temperature, etc., they are all necessary and will not be detailed one by one.
In addition, because the pancreatic enzyme in the patient's body can decompose fat into fatty acids and saponify it with calcium ions in the blood, it may lead to hypocalcemia, so calcium supplements need to be supplemented during the operation according to the situation.
"Dr. Zhou, the anesthesia is ready!" Nancy glanced at Zhou Qiao and said loudly.
She never expected that Zhou Qiao, at such a young age, would be able to perform such a difficult operation by himself.
Regardless of whether it works or not, whether it goes smoothly or not, she feels that Zhou Qiao has great courage!
Moreover, she secretly observed Zhou Qiao and felt that Zhou Qiao was calm and confident, and he was probably competent!
What's more, there are two "big bosses" from the University of California School of Medicine and Stanford University Health Care who are "observing" and "supervising"!
Nancy felt that if it had been her, she would have been so nervous that her heart was beating like a deer!
Zhou Qiao nodded and called "Ava, Time Out!"
Ava immediately became energetic and reported the patient's basic information, including name, planned surgery, positioning, etc., with a crisp voice like pearls falling on a plate.
After she finished speaking, the anesthesiologist Nancy immediately took over.
Then, Elena took over, her voice was exactly the same as Ava's. If they weren't in different positions, they would have thought it was the same person reporting.
Finally, Zhou Qiao comes again!
The information given by several people was exactly the same, and the operation officially began!
